Individual provider Active NPI

Laura Anita Sylva, LCSW

  • Clinical Social Worker
  • Georgetown, TX
National Provider Identifier
1679671341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20578 Issued in TX
Practice address
1101 Williams Dr
Suite 1
Georgetown, TX 78628-4109
Phone
(512) 845-3733
Fax
(512) 515-7989
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20578 TX Primary

Addresses

Primary practice location

1101 Williams Dr
Suite 1
Georgetown, TX 78628-4109

Mailing address

1101 Williams Dr
Suite 1
Georgetown, TX 78628-4109
Phone (512) 845-3733

Other identifiers 1

IdentifierTypeStateIssuer
00666PMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000210 TX Practitioner - Clinical Social Worker 6709849680 Practice locations: Georgetown, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1101 Williams Dr
Georgetown, TX 78628-4109
Phone (512) 845-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679671341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WILLIAMS DR",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284109",
            "telephone_number": "512-845-3733",
            "fax_number": "512-515-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILLIAMS DR",
            "address_2": "SUITE 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284109",
            "telephone_number": "512-845-3733",
            "fax_number": "512-515-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVA",
        "first_name": "LAURA",
        "middle_name": "ANITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00666P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.